The TCM treatment of respiratory tinnitus involves the use of ventilation-dispersing techniques plus nourishing kidney essence. For kidney essence insufficiency, one may experience dumbness and tinnitus, insomnia with heart disturbance, red tongue with little coating, weak pulse. The treatment principle is to tonify the kidneys and invigorate essence, using formulas like Er Long Zuo Ci Wan and Tong Qiao methods, adding ignorance.
For liver stagnation and blood deficiency type, respiratory tinnitus may be accompanied by irritability, depression, chest tightness, insomnia, throat foreign body sensation, dark red tongue, stringy pulse. The treatment principle is to soothe the liver, nourish the blood, regulate qi and dredge the meridians.
For qi and blood stagnation type, long-standing tinnitus associated with sexual activity or prolonged duration, ear swelling, declining hearing, stretching discomfort, feet stuffiness, dark red tongue or spots, stringy pulse. The treatment principle is to invigorate qi and blood, using formulas like Si Wu Tang plus ventilation-dispersing herbs.
For negative pin treatment, select acupoints around the ear and lesser meridians. Yifeng (TE17), Tinggong (SI19), Tinghui (GB2), Xin (HT9), Waiguan (TE5), Zusanli (ST36), Taixi (KI3) points are selected, 4 points per session, strong stimulation, needle retention for 15 minutes, once daily. 5 days constitute a course of treatment.
Evaluation standard: (1) Cure: disappearance of tinnitus. No residual sound. Normal hearing test, no recurrence on follow-up; (2) Improvement: respiratory tinnitus disappears or significantly reduces, but can recur; (3) Invalid: after more than two courses of treatment, no significant improvement in tinnitus.
Results: In this group of 11 patients, six cases (54.6%) were cured after two courses of treatment, two cases improved (18.2%), three cases were invalid (27.3%). The total effective rate was 72.7%. Longer duration cases showed more obvious efficacy.
Case study: A female patient, island-year-old, eight months ago experienced bilateral ear blockage diagnosed as catarrhal otitis media outside the hospital. Despite multiple treatments including eustachian tube inflation techniques, tympanic membrane puncture, anti-inflammatory drugs, and hormone therapy, there was no improvement. Consulted in June 1997 in Anhui, with respiratory synchronized tinnitus, white noise when supine, ear swelling disappeared, accompanied by impatience, disturbed sleep, stretching. Red petechiae on the tongue, stringy pulse. Examination revealed clean ear canal, intact eardrum, enhanced tympanic membrane activity during nasal blowing, increased sense of ear blockage. Swabian ink He test (+) diagnosed as respiratory tinnitus, stagnation of qi and blood type, treatment principle to invigorate qi and blood circulation.
Drugs used: peach kernel 12g, safflower 9g, Angelica 15g, Chuanxiong 15g, red peony root 15g, Cyperus 10g, Bupleurum 10g, crisp gramineus 12g. Acupuncture at Yifeng, Xin official, Germain, clear hole, Ba Che. Needle retention for 15 minutes, once daily, disable the drum by blowing method. After four days of moxibustion, herbal medicine, and acupuncture treatment, respiratory tinnitus and occlusion disappeared. Stretching alleviated. Following prodrug plus needle delicate treatment, symptoms disappeared after two weeks, ringing in the ears followed up for six months with no recurrence.
Discussion: Respiratory tinnitus generally occurs due to excessive openness of the eustachian tube, possibly due to disappearance of surrounding fat... leading to synchronous ear sounds with respiration. It is believed that kidney damage leads to essence and blood not reaching the ear orifices. Ear tubules being closed and not solid lead to gas Wei causing a sense of ear blockage and tinnitus entering the ear orifices outside the kidney perfusion for the twelve meridians, kidney essence decline leads to less illness. Or posture excessive. Kidney essence Hao Shang, not reaching the ear orifices causes tinnitus amidine empty so that, as’ to treat patients, Hou on the ear disease princes pointed out: the kidney through the ear, foot Shaoyin Of by of the kidney. Were pulse-together, labor blood. And blood gas shortage. Veins were true. Feng Xie Cheng Xu with the ear pulse, and the gas blow, so as tinnitus. If the spleen and stomach, the source of qi and blood. Meridians emptiness, lack of blood upon the ear orifices also cause tinnitus, clinical respiratory tinnitus patients in most of the readme ringing in the ears after a day or tiring easily attack the night Kun bed rest more than alleviate. It is because of the supine, head congestion, ear meridians blood grams surplus cut out the tinnitus disappear naturally. As’ Man hub Head Q> said: Due to lack of liver blood. Liver magic vent dereliction of duty, air-stagnation to poor ear, swelling discomfort. Clinical often with the gas line Tongqiao the law on the basis of the spleen, kidney Park. Gas as the commander of blood and qi stagnation for a long time, blood clotting, and so on chronic illness, I qi and blood circulation method, the efficacy is also significant. Hand, foot and little two by the bypass in the ear before, so take the shaoyang Kang. To sulfur guide Shaoyang by the gas in the treatment of spleen and kidney. Nourishing Qi and qi and blood circulation Tongqiao France, so fine and full, smooth blood the meridians filling, topical needle plate so that the ear the meridians gas tune Chang, significant effects can be achieved.